Grant Peterson, in New Hope, MN - Medicare Speech-Language Pathologist Provider

Grant Peterson, is a medicare enrolled "Speech-language Pathologist" provider in New Hope, Minnesota. His current practice location is 5430 Boone Ave N, New Hope, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 592-2774.

Grant Peterson is licensed to practice in Minnesota (license number 9877) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366283046.

Contact Information

	Grant Peterson,
	5430 Boone Ave N, New Hope, MN 55428-3615
	(763) 592-2774
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grant Peterson
Gender	Male
Speciality	Speech-language Pathologist
Location	5430 Boone Ave N, New Hope, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366283046
Provider Enumeration Date: 06/05/2024
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7113458183
Enrollment ID: I20241001002668

Medical Identifiers

Medical identifiers for Grant Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366283046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9877 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Grant Peterson allows following entities to bill medicare on his behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013498914 PECOS PAC ID: 2365359932 Enrollment ID: O20181204002105

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grant Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grant Peterson, 5430 Boone Ave N, New Hope, MN 55428 Ph: (320) 292-6200	Grant Peterson, 5430 Boone Ave N, New Hope, MN 55428-3615 Ph: (763) 592-2774

Reviews and Comments

Speech-Language Pathologist in New Hope, MN

Sara Stewart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4900 Highway 169 N Ste 100, New Hope, MN 55428 Phone: 952-807-5682
Claire Pauline Slayter, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9220 Bass Lake Rd, New Hope, MN 55428 Phone: 612-273-6228
Nicole Lampi, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9220 Bass Lake Rd, Suite 260, New Hope, MN 55428 Phone: 763-533-0363 Fax: 763-533-0842
Amanda Rose Jackson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5430 Boone Ave N, New Hope, MN 55428 Phone: 763-592-2600
Mrs. Kathryn Ann Mclachlan, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4124 Quebec Ave N, Suite 201, New Hope, MN 55427 Phone: 763-537-6957
Rebecca Robinson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9220 Bass Lake Rd, Suite 260, New Hope, MN 55428 Phone: 763-533-0363

Grant Peterson, - Medicare Speech-Language Pathologist in New Hope, MN